Does Medicare Cover Farxiga?

Drug Coverage · Diabetes

Farxiga (dapagliflozin) is used for type 2 diabetes (and heart failure / kidney disease).

Does Medicare cover Farxiga?

Yes — Part D plans generally cover Farxiga for type 2 diabetes. Covered for approved uses including type 2 diabetes, heart failure, and chronic kidney disease. Formulary tier and copay vary by plan.

Which part of Medicare covers it?

Part D. These are self-administered prescriptions, so they fall under your Part D drug plan (or the drug coverage built into a Medicare Advantage plan), not Part B.

Typical formulary tier

Brand tier (often Tier 3) — varies by plan. Your exact tier — and copay — depend on the plan you choose, which is why matching the formulary to your medications matters.

Prior authorization & plan rules

Prior authorization or step therapy applies on some plans. An exception request is available if a lower-cost option isn’t right for you.

If it isn’t covered (or costs too much)

Compare plans that place Farxiga on a better tier, and ask us about manufacturer savings and foundation grants.

• Help paying for Farxiga — assistance programs and grants.
• Compare Part D plans that cover Farxiga on a better tier.
• How drug tiers work · Extra Help for lower-income beneficiaries.

Related medications

• Does Medicare cover Jardiance? — empagliflozin
• Does Medicare cover Trulicity? — dulaglutide

Related Medicare guides

• All drug coverage · Part D plans · how drug tiers work.
• Medicare costs · Glossary · Medicare Help Center.

Get a Real Answer for Your Plan — Free

Coverage and cost depend on your specific plan and diagnosis. Call us free at 435-219-5120 (TTY: 711) with your medication list, and we’ll tell you exactly what Farxiga costs on your plan — and whether a different plan would cover it better. No cost, no pressure.